Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.
Identifieur interne : 000735 ( PubMed/Corpus ); précédent : 000734; suivant : 000736Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.
Auteurs : Monique M. Menezes ; Marcelo A. Bello ; Eduardo Millen ; Frederico A S. Lucas ; Flávia N. Carvalho ; Mauro F C. Andrade ; Ana Carolina P R. Pereira ; Rosalina J. Koifman ; Anke BergmannSource :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- diagnosis : Breast Neoplasms.
- etiology : Lymphedema.
- methods : Mammaplasty.
- surgery : Breast Neoplasms, Lymphedema.
- Female, Follow-Up Studies, Forecasting, Humans, Middle Aged, Neoplasm Staging, Prospective Studies, Risk Factors.
Abstract
The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.
DOI: 10.1016/j.bjps.2016.06.001
PubMed: 27373492
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pubmed:27373492Le document en format XML
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Electronic address: mabello@inca.gov.br.</nlm:affiliation></affiliation></author><author><name sortKey="Millen, Eduardo" sort="Millen, Eduardo" uniqKey="Millen E" first="Eduardo" last="Millen">Eduardo Millen</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: eduardomillen@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Lucas, Frederico A S" sort="Lucas, Frederico A S" uniqKey="Lucas F" first="Frederico A S" last="Lucas">Frederico A S. Lucas</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fredericolucas@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Carvalho, Flavia N" sort="Carvalho, Flavia N" uniqKey="Carvalho F" first="Flávia N" last="Carvalho">Flávia N. Carvalho</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fcarvalho@inca.gov.br.</nlm:affiliation></affiliation></author><author><name sortKey="Andrade, Mauro F C" sort="Andrade, Mauro F C" uniqKey="Andrade M" first="Mauro F C" last="Andrade">Mauro F C. Andrade</name><affiliation><nlm:affiliation>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo, Brazil. Electronic address: mauroand@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Pereira, Ana Carolina P R" sort="Pereira, Ana Carolina P R" uniqKey="Pereira A" first="Ana Carolina P R" last="Pereira">Ana Carolina P R. Pereira</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: carol_padula@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. Electronic address: abergmann@inca.gov.br.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27373492</idno><idno type="pmid">27373492</idno><idno type="doi">10.1016/j.bjps.2016.06.001</idno><idno type="wicri:Area/PubMed/Corpus">000735</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000735</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.</title><author><name sortKey="Menezes, Monique M" sort="Menezes, Monique M" uniqKey="Menezes M" first="Monique M" last="Menezes">Monique M. Menezes</name><affiliation><nlm:affiliation>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro, Brazil. Electronic address: moniquemaron@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Bello, Marcelo A" sort="Bello, Marcelo A" uniqKey="Bello M" first="Marcelo A" last="Bello">Marcelo A. Bello</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: mabello@inca.gov.br.</nlm:affiliation></affiliation></author><author><name sortKey="Millen, Eduardo" sort="Millen, Eduardo" uniqKey="Millen E" first="Eduardo" last="Millen">Eduardo Millen</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: eduardomillen@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Lucas, Frederico A S" sort="Lucas, Frederico A S" uniqKey="Lucas F" first="Frederico A S" last="Lucas">Frederico A S. Lucas</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fredericolucas@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Carvalho, Flavia N" sort="Carvalho, Flavia N" uniqKey="Carvalho F" first="Flávia N" last="Carvalho">Flávia N. Carvalho</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fcarvalho@inca.gov.br.</nlm:affiliation></affiliation></author><author><name sortKey="Andrade, Mauro F C" sort="Andrade, Mauro F C" uniqKey="Andrade M" first="Mauro F C" last="Andrade">Mauro F C. Andrade</name><affiliation><nlm:affiliation>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo, Brazil. Electronic address: mauroand@uol.com.br.</nlm:affiliation></affiliation></author><author><name sortKey="Pereira, Ana Carolina P R" sort="Pereira, Ana Carolina P R" uniqKey="Pereira A" first="Ana Carolina P R" last="Pereira">Ana Carolina P R. Pereira</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: carol_padula@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><affiliation><nlm:affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. Electronic address: abergmann@inca.gov.br.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (diagnosis)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mammaplasty (methods)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27373492</PMID><DateCreated><Year>2016</Year><Month>08</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>9</Issue><PubDate><Year>2016</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.</ArticleTitle><Pagination><MedlinePgn>1218-26</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2016.06.001</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(16)30116-4</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cohort study was performed on women submitted to mastectomy with axillary lymphadenectomy in a single center. The follow-up included clinical evaluation and arm column measurements before surgery, at 30 days, 6 months, 5 years, and 10 years after surgery. For women subjected to late reconstruction, the time of occurrence of lymphedema (before or after reconstruction) was observed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We followed up on 622 patients submitted to mastectomy and axillary lymphadenectomy for an average period of 57 months after surgery. In total, 94 women were submitted to breast reconstruction, 47 (8%) of them immediate and 47 (8%) late reconstructions. Incidence of lymphedema in the whole group was 33% (n = 204). Among the patients submitted to reconstruction, 28% of them developed lymphedema, on average, 93 months (CI 95%, 88-98) after surgical treatment. In women not subjected to reconstruction, 179 (34%) developed lymphedema, on average, after 106 months (CI 95%, 96-116) (p = 0.03). Breast reconstruction reduced lymphedema risk in 36% (HR = 0.64, CI 96%, 0.42-0.98, p = 0.04). After adjustment for pathological staging and radiotherapy, this was not statistically significant (HR = 0.79, CI 95%, 0.52-1.21, p = 0.28).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Breast reconstruction does not increase the risk of lymphedema in long-term follow-up.</AbstractText><CopyrightInformation>Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Menezes</LastName><ForeName>Monique M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro, Brazil. Electronic address: moniquemaron@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bello</LastName><ForeName>Marcelo A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: mabello@inca.gov.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Millen</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: eduardomillen@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lucas</LastName><ForeName>Frederico A S</ForeName><Initials>FA</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fredericolucas@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>Flávia N</ForeName><Initials>FN</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fcarvalho@inca.gov.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andrade</LastName><ForeName>Mauro F C</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo, Brazil. Electronic address: mauroand@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Ana Carolina P R</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: carol_padula@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koifman</LastName><ForeName>Rosalina J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bergmann</LastName><ForeName>Anke</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. Electronic address: abergmann@inca.gov.br.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005544" MajorTopicYN="Y">Forecasting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="N">Mammaplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast neoplasia</Keyword><Keyword MajorTopicYN="N">Incidence</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Reconstruction</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27373492</ArticleId><ArticleId IdType="pii">S1748-6815(16)30116-4</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2016.06.001</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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